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This report summarizes the results of a venous color duplex scan of the lower extremities for a 77-year-old male patient with a history of hypertension. The scan found evidence of abnormal venous valve incompetence in the great saphenous vein and perforator veins of both legs, with reflux times over 2 seconds. On the right leg, reflux was seen in the GSV at the thigh, calf, and ankle levels, as well as in a perforator vein of the proximal calf. On the left leg, reflux was present in the posterior accessory vein, GSV at the thigh, calf, and ankle, with an additional finding of a varicose vein in the calf.

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Bernice Alvarado
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54 views2 pages

IHERetrieveDocument RTTT

This report summarizes the results of a venous color duplex scan of the lower extremities for a 77-year-old male patient with a history of hypertension. The scan found evidence of abnormal venous valve incompetence in the great saphenous vein and perforator veins of both legs, with reflux times over 2 seconds. On the right leg, reflux was seen in the GSV at the thigh, calf, and ankle levels, as well as in a perforator vein of the proximal calf. On the left leg, reflux was present in the posterior accessory vein, GSV at the thigh, calf, and ankle, with an additional finding of a varicose vein in the calf.

Uploaded by

Bernice Alvarado
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Lower Extremity Caribbean Vascular Center

909 Avenida Tito Castro


Venous Color Duplex Torre Medica San Lucas, Suite 602
Scan Preliminary Ponce, Puerto Rico 00716
Tel: 787-651-1429
Report Website: www.caribbeanvascular.com

Patient name: TORRES TORRES, RAUL Patient ID: 39018


DOB: 02/23/1954 Chart#: Referring Physician: OPD-DR SANTINI
Age: 077Y Location: Sonographer: Nitza I. Cruz Rosario, LVT
Sex: M Equipment: DC-70
I/O: Outpatient Exam date: 10/20/2022 Interpreting physician:
Lower extremities venous Duplex Ultrasound was performed to evaluate the Deep and Superficial system using B-mode, color and
spectral Doppler Duplex. Longitudinal and transverse were using for evaluate all veins. Augmentation as well compression maneuvers
were performed.
Indications / History: Hypertension.
Diagnosis: Venous insufficiency (chronic) (peripheral) (I87.2).
Procedure: Duplex scan of extremity veins including responses to compression and other manuevers;
complete bilateral study (93970).

Right Leg Left


Reflux Time Diameter Mapping Reflux Time Diameter
Pop V Prox 2.12 s
Pop V Dist 2.17 s
5.4 mm GSV JUNCTION 4.5 mm
1.21 s 3.8 mm GSV THIGH Prox 2.23 s 2.9 mm
1.76 s 3.5 mm GSV THIGH Mid 3.48 s 3.8 mm
1.01 s 3.2 mm GSV THIGH Dist 3.59 s 2.9 mm
4.03 s 2.7 mm GSV BK Prox 3.58 s 3.1 mm
3.99 s 2.4 mm GSV BK Mid 4.05 s 3 mm
2.7 mm GSV Ankle 1.7 s 2.1 mm
2.8 mm SPJ 3 mm
3 mm SSV 3.9 mm
2.4 mm Tributary Calf 1
3.53 s 1.9 mm Perf Prox Calf
1.8 mm Tributary Thigh Mid
Perf Mid Calf 2.2 mm
2.3 mm Tributary Thigh Dist
Perf Dist Thigh 1.7 mm

Findings: Right Leg


Lower extremity veins were visualized in the transverse and longitudinal views. The vessels showed normal color filling and
compressibility. Doppler interrogation showed phasic and spontaneous flow with a normal response to distal augmentation.
Images were obtained with the patient in reverse Trendelenburg position. Spectral waveform analysis of the lower extremity
venous system demonstrate evidence of abnormal venous valve incompetence of the GSV at thigh, calf and ankle, Perf at
proximal calf.

Findings: Left Leg


Lower extremity veins were visualized in the transverse and longitudinal views. The vessels showed normal color filling and
compressibility. Doppler interrogation showed phasic and spontaneous flow with a normal response to distal augmentation.
Images were obtained with the patient in reverse Trendelenburg position. Spectral waveform analysis of the lower extremity
venous system demonstrate evidence of abnormal venous valve incompetence of the POP, GSV at thigh,calf and ankle.
Varicose vein in the calf.
Patient name: TORRES TORRES, RAUL Chart#: Page 2 of 2
DOB: 02/23/1954 Exam. date: 10/20/2022
Patient ID: 39018 Int. Physician:

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